grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2017-176-2-77-82grekov-325Research ArticleПЛАСТИЧЕСКАЯ И РЕКОНСТРУКТИВНАЯ ХИРУРГИЯPLASTIC AND RECONSTRUCTIVE SURGERYАНАЛИЗ ЭФФЕКТИВНОСТИ ТЕХНОЛОГИЙ АРТРОСКОПИЧЕСКОЙ ПЛАСТИКИ ПЕРЕДНЕЙ КРЕСТООБРАЗНОЙ СВЯЗКИ КОЛЕННОГО СУСТАВАANALYSIS OF EFFICACY OF ARTHROSCOPIC PLASTY TECHNOLOGIES OF ANTERIOR CRUCIFORM LIGAMENT OF KNEE JOINT BASED ON ANATOMICAL POSITION OF AUTOGRAFTЗаяцВ. В.ZayatsV. V.zaiatc.vitalii@gmail.comДулаевА. К.DulaevA. K.akdulaev@gmail.comДыдыкинА. В.DydykinA. V.noemail@neicon.ruУльянченкоИ. Н.Ul’YanchenkoI. N.noemail@neicon.ruКоломойцевА. В.KolomoitsevA. V.noemail@neicon.ruКовтунА. В.KovtunA. V.noemail@neicon.ruПервый Санкт-Петербургский государственный медицинский университет им. акад. И. П. ПавловаРоссияI. P.Pavlov First St. Petersburg State Medical UniversityRussian FederationПервый Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова; Санкт-Петербургский научно-исследовательский институт скорой помощи им. И. И. ДжанелидзеРоссияI. P.Pavlov First St. Petersburg State Medical University; I. I. Dzhanelidze St. Petersburg Research Institute of Emergency MedicineRussian Federation20172804201717627782Copyright © Заяц В.В., Дулаев А.К., Дыдыкин А.В., Ульянченко И.Н., Коломойцев А.В., Ковтун А.В., 20172017Заяц В.В., Дулаев А.К., Дыдыкин А.В., Ульянченко И.Н., Коломойцев А.В., Ковтун А.В.Zayats V.V., Dulaev A.K., Dydykin A.V., Ul’Yanchenko I.N., Kolomoitsev A.V., Kovtun A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/325

ЦЕЛЬ ИССЛЕДОВАНИЯ. Сравнить эффективность анатомической и транстибиальной пластик передней крестообразной связки (ПКС). МАТЕРИАЛ И МЕТОДЫ. Проанализированы 586 операций в период с 2010 по 2015 г. В 1-й группе (289 вмешательств, 49,3 %) осуществляли анатомическую пластику ПКС. Во 2-й группе (297, 50,7 % операций) выполняли транстибиальную реконструкцию. РЕЗУЛЬТАТЫ. В 1-й группе по IKDC2000 и KOSS реже наблюдали неблагоприятные исходы (p<0,05). Стабильность коленного сустава была выше в 1-й группе (p<0,05). Во 2-й группе трансплантат чаще располагался вертикально, имел признаки разрушения, чаще выявлялся эффект «стеклоочистителя» (p<0,01). Продолжительность операций во 2-й группе была меньше (p<0,05). ЗАКЛЮЧЕНИЕ. Анатомическая пластика ПКС, по сравнению с транстибиальной техникой, позволяет получить большую надежность в достижении отличных и хороших результатов.

OBJECTIVE. The study compared the efficacy of anatomic and transtibial ACL (anterior cruciform ligament) reconstruction. MATERIALS AND METHODS. The authors analyzed 586 operations at the period from 2010 to 2015. The anatomic ACL-R was performed in the first group of 289 patients (49,3 %). The transtibial ACL-R was carried out in the second group of 297 patients (50,7 %). RESULTS. The adverse outcomes were rarely observed in the first group (p<0,05), where IKDC-2000 and KOSS were applied. The knee stability was higher in the first group (p<0,05). The graft was often positioned vertically and it had signs of destruction in the second group. There was detected the bone tunnel enlargement (p<0,01) more frequently compared with the first group. The operation time was shortened (p<0,05) in the second group. CONCLUSIONS. The anatomic ACL-R allowed doctors to obtain some stability in the perfect and good results compared with the transtibial ACL-R.

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The authors declare that there are no conflicts of interest present.